Organization
MISSION VIEJO RADIATION ONCOLOGY CORP.
Active
Other names
Mission Viejo Radiation Oncology Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLYN YOUNG MD (OWNER)
(949) 573-9560
Entity
Organization
Contact information
Practice address
27799 MEDICAL CENTER RD, STE 120, MISSION VIEJO, CA 92691-6426
(949) 573-9560
Mailing address
PO BOX 515445, LOS ANGELES, CA 90051-6745
(949) 573-9560
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
G49709
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0103710
—
CA
Enumeration date
06/25/2006
Last updated
03/11/2020
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